Schenectady Mental Health Associates

Schenectady Mental Health Associates was paid $299K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 53% of everything it billed.

33Billing provider infoSCHENECTADY MENTAL HEALTH ASSOCIATES
SCHENECTADY, NY 12308

33aNPI1770721698assigned 01/30/2009

33bProvider typeClinical Social Worker

28Total paid$299K

24GClaims4,509

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Clinical Social Worker providers in New York

Rank by total paid#174 of 882

Median peer was paid$53K

This provider vs. median5.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	643	$30K
2019	492	$29K
2020	599	$33K
2021	554	$39K
2022	959	$67K
2023	916	$70K
2024incomplete	346	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	53%	1,728	1,037	$159K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	1,406	1,322	$67K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	22%	884	763	$66K
90792	Psychiatric diagnostic evaluation with medical services	2.2%	37	37	$7K
96127		<1%	286	260	$640.75
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	12	12	$586.04
1036F		<1%	110	103	$0.13
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	12	12	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	34	30	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialQUALTERE, THOMAS (OWNER/PHYSICIAN)